Avoid lumbagest We will prioritize high safety herbs for nerve pain and inflammation without putting undue strain on the kidneys. 1) Ksheerabala (101) Capsules-1 Capsule twice daily before food 2) Sahacharadi Kwath Tablet- 2 Tablets-Twice daily, before food 3) Dasamoolarishtam-15 ml liquid with 45 ml water Twice daily, after food 4) gandharv hastadi castor oil- 5 ml once daily at bedtime with warm water avoid heavy proteins like paneer, soy, and urad dal. Stick to light Moong Dal or Peya (thin rice water). sip warm water throughout the day Use Old rice (Sastika Shali), Barley (Yava)well-cooked Oats. Bottle gourd (Lauki), Pointed gourd (Parwal), Ridge gourd (Turai), and Pumpkin. . Use small amounts of Ginger, Cumin (Jeera), Fennel (Saunf), and Turmeric. Avoid Potato, Cauliflower, Cabbage, Broccoli, and Ladies’ finger (Bhindi). These will worsen his L4-L5 pain by increasing “Vata” (gas) in the gut. Avoid curd, especially at night. Fresh Buttermilk (Takra) with a pinch of Cumin is a better alternative during the day. Keep salt intake low to protect the kidneys. Avoid red chili and heavy garam masala which aggravate gastric issues. Avoid Idli, Dosa, or Bakery items (bread/biscuits) you shouldfinish his last meal by 7:00 PM. This prevents nighttime bloating and pressure on the spine. Avoid long-distance walking. Instead, 5-10 minutes of gentle walking inside the house after meals is enough to aid digestion. Use a firm chair with back support. Never sit on the floor or low stools, as this puts maximum pressure on the L4-L5 disc.
Your urine test shows early kidney strain, so you should avoid taking any new medicines –You are taking: Thyronorm → continue as prescribed Urimax-D → continue unless advised otherwise No issue with kidney from these at your current stage. –Your condition (long-standing disc bulge) suggests: Likely nerve compression (sciatica-type pain) Now aggravated after many years At age 76, best approach is conservative – at present don’t stop any medicine Nd take - SYP Nerwine 2 tsf twice daily after meal - muscalt forte 2 tab twice daily after meal Sudden stopping of pregablin can cause: Pain rebound Sleep disturbance Anxiety —If pain is still severe, you may need: Either restart at lower dose